阴道内镜与传统宫腔镜检查临床应用的比较

Comparison on clinical application of vaginoscopy with traditional hysteroscopy

目的探讨阴道内镜检查的临床应用优势及适应证。方法 2015年l月-2015年3月在首都医科大学附属复兴医院宫腔镜中心门诊行宫腔镜检查的患者109例,分为3组。第1和2组采用阴道内镜检查,第3组采用传统宫腔镜检查。分别对检查时间、疼痛评分和术后感染等参数进行比较。结果第1组幼女在阴道内镜检查中均未损伤处女膜。第2和3组患者的宫腔镜检查平均时间差异无统计学意义,主观疼痛评分差异有统计学意义。所有患者均无术后盆腔感染情况发生。结论阴道内镜检查可以明显减低宫腔镜检查时的疼痛,免除了对处女膜的损伤。尤其适合幼女及未婚患者下生殖道病变的检查,具有推广应用价值。

【Objective】To discuss the advantages and indications of vaginoscopy in clinical application.【Methods】From January to March 2015 there were 109 cases been performed diagnostic hysteroscopy in the clinic of Hysteroscopic Center, Fuxing Hospital, Capital Medical University. They were divided into 3 groups. The first and second group used vaginoscopy and the third group used traditional hysteroscopy. Their examination time, subjective score of pain and infection after operation were compared separately. 【Results】First group is infantile who diagnosed by vaginoscopy and their hymen was no damage. The mean examination time in the second and third group had no differences, subjective score of pain had difference. No pelvic infection occurred in the third group.【Conclusions】Vaginoscopy can reduce the pain resulted from hysteroscopic examination obviously and avoid the damage in the hymen. Vaginoscopy especially fits infantile and unmarried women with lower genital tract lesions.Vaginoscopy had popularization and application value.